Individual
DR. JUDY M CRAYTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
171870-1205
UT
207W00000X
Ophthalmology Physician
Primary
5468
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002787
—
NV
01
—
1218020001
NAS-DME
—
01
—
5010
MEDICAL EYE SERVICES
—
01
—
5468
BLUE CROSS BLUE SHIELD
—
01
—
P00454782
PALMETTO RAILROAD
—
Enumeration date
03/24/2006
Last updated
02/06/2014
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